%0 Journal Article
%T 纳米碳在达芬奇机器人直肠癌根治术中的应用
%A 刘宝华
%A 叶景旺
%A 李春穴
%A 邓小炼
%A 郭雄波
%A 黄彬
%J 肿瘤防治研究
%D 2018
%R 10.3971/j.issn.1000-8578.2018.18.0235
%X 摘要 目的 总结纳米碳示踪剂在达芬奇机器人直肠癌根治术的使用体会。方法 收集分析2017年7月—2017年12月经达芬奇机器人直肠癌根治术中应用纳米碳示踪剂完成的11例患者临床资料。结果 全部11例手术均在机器人辅助下完成，无中转开腹，3例行回肠保护性造口。手术时间（184.6±23.5）min，术中出血（30.9±7.6）ml。切除肠管长度（18.8±2.1）cm，淋巴结清扫数目（17.5±1.9）枚，阳性（3.4±1.5）枚，其中微小淋巴结（7.5±1.4）枚。下切缘距肿瘤（2.8±0.4）cm，手术标本两断端及环周切缘未见癌，均符合全直肠系膜切除标准。术后肛门或造口排气时间（25.9±7.4）h，恢复进食时间（12.7±3.1）h，术后住院时间（6.6±0.7）d。未出现出血、感染、肠瘘或肠梗阻等并发症，术后随访1~6月暂未发现复发或转移。结论 在达芬奇机器人直肠癌根治术中使用纳米碳示踪剂简便安全，有利于淋巴结清扫，特别是微小淋巴结的清扫
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%U http://www.zlfzyj.com/CN/abstract/abstract9278.shtml